Provider Demographics
NPI:1992119382
Name:HEARN, JULIA LYNNE (RN)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:LYNNE
Last Name:HEARN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:LYNNE
Other - Last Name:STOKES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1117 ROUSH RD
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45801-3825
Mailing Address - Country:US
Mailing Address - Phone:419-303-6300
Mailing Address - Fax:
Practice Address - Street 1:1117 ROUSH RD
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45801-3825
Practice Address - Country:US
Practice Address - Phone:419-303-6300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-13
Last Update Date:2014-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN366958163W00000X
NVRN74858163W00000X
FLRN9362251163W00000X
IN28209420A163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse